Healthy vulval hygiene practices

Avoid	Substitute
Clothing
Pantyhose	Thigh-high or knee-high stockings Stay-up thigh-high stockings with silicone adhesive strips Stockings with a garter belt
Synthetic underwear	Cotton underwear or no underwear
Jeans and other tight pants	Loose pants, skirts, dresses
Swimsuits, leotards, thongs, Lycra garments for prolonged periods	Loose-fitting cotton garments or prompt removal of swimsuits, leotards, etc, after completion of exercise activity
Cleansing products
Scented soaps or shampoos	Fragrance-free, pH-neutral, soap-free cleanser or bland emollient moisturizer
Bubble bath	Warm (not hot) plain water bath once daily. A bland, unfragranced, pH-neutral emollient moisturizer can be used as a bath additive.
Scented detergents	Unscented detergents
Baby wipes or flushable wipes	Rinse with water using sports water bottle or perineal irrigation bottle
Feminine sprays, douches, powders	These are not necessary products and can be omitted from personal practices
Other
Washcloths	Use fingertips for washing; pat dry, do not rub dry
Panty liners	Tampons, cotton pads, washable cotton-based "period underwear," menstrual cups
Dyed toilet articles	Toilet articles without dyes
Hair dryers to dry vulva skin without contact	Dry vulva by gentle patting with a soft towel

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